Document Type : Review Article
Author
General Surgeon, Sina Hospital, Tabriz University of Medical science, Tabriz, Iran. (ORCID: 0009-0002-1365-3038)
Abstract
This abstract provides a concise summary of the comparison of laparoscopy versus open appendectomy results. Appendectomy, the surgical removal of the appendix, is the standard treatment for acute appendicitis. Laparoscopic appendectomy (LA) and open appendectomy (OA) have emerged as the primary surgical approaches. This review aims to compare the outcomes of LA and OA, including efficacy, safety, postoperative complications, and patient satisfaction. Multiple comparative studies consistently demonstrate comparable efficacy between LA and OA in terms of successful appendix removal. LA offers excellent visualization and accurate identification of the appendix, while OA allows for direct visualization and tactile feedback during the procedure. In terms of safety, LA has advantages such as shorter operative times, reduced blood loss, decreased postoperative pain, and reduced wound infections. OA, despite a larger incision, allows for better exposure and control of bleeding. Postoperative complications show that LA has a lower risk of wound infections, incisional hernias, and postoperative pain. However, LA may have a slightly higher risk of intra-abdominal abscess formation. OA has comparable rates of complications to LA. Patient satisfaction is high for both LA and OA. LA provides advantages such as reduced postoperative pain, smaller incisions, improved cosmetic results, shorter hospital stays, and faster return to normal activities. OA offers immediate symptom relief and the ability to address other intra-abdominal pathologies. In conclusion, both LA and OA are effective and safe approaches for appendectomy. The choice between the two should consider individual patient factors and surgeon expertise. Further research will continue to refine outcomes and inform decision-making for optimal patient care.
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